Blue Cross Behavioral Health Modifier Requirements

Listing Websites about Blue Cross Behavioral Health Modifier Requirements

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CPCP023 Modifier Reference Guideline Update Blue Cross and …

(9 days ago) WebCPCP023 Modifier Reference Guideline Update. April 10, 2021. Blue Cross and Blue Shield of TX has revised the following Clinical Payment and Coding Policies …

https://www.bcbstx.com/provider/standards/standards-requirements/disclosures/disclosures-archive/2021/04-10-21-modifier-ref-guide

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SECTION 5: BILLING AND REIMBURSEMENT GUIDELINES

(2 days ago) WebAuthorizations are required for all inpatient behavioral health services. Authorizations may be required for some outpatient behavioral health services. Blue Cross has partnered …

https://providers.bcbsla.com/-/media/Files/Providers/Professional%20Provider%20Office%20Manual/Section%2057%20Billing%20Guidelines%20Behavioral%20Health%20pdf.pdf

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Behavioral Health Clinical Practice Guidelines Blue Cross and Blue

(7 days ago) WebBehavioral Health Clinical Practice Guidelines 2023-2024. Blue Cross and Blue Shield of Illinois adopts Clinical Practice Guidelines as the foundation for our Behavioral Health …

https://www.bcbsil.com/provider/clinical/clinical-resources/behavioral-health-program/bh-clinical-practice-guidelines

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Behavioral Health Reference Guide - Anthem Provider

(5 days ago) WebBlue Cross and Blue Shield (Anthem) members enrolled in Hoosier Healthwise, Healthy Indiana Plan (HIP) and Hoosier Care Connect! This reference guide is designed to help …

https://providers.anthem.com/docs/gpp/IN_CAID_BehavioralHealthReferenceGuide.pdf?v=202108101855

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Blue Cross, BCN Behavioral Health - FAQ for LLPs and …

(7 days ago) WebFor additional assistance. If you need additional assistance, call one of these numbers: Provider Inquiry at 1-800-344-8525 (professional providers) or 1-800-249-5103 (facilities) …

https://ereferrals.bcbsm.com/docs/common/common-bh-faq-llp-lmft.pdf

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Behavioral Health Prior Authorization Requirements and Process

(6 days ago) WebSome members may not have outpatient behavioral health management. All behavioral health benefits are subject to the terms and conditions as listed in the member’s benefit …

https://www.bcbsil.com/provider/clinical/clinical-resources/behavioral-health-program/bh-prior-authorization-process

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Blue Cross and BCN: Provider training and resources

(6 days ago) WebClick Payer Spaces on the menu bar. Click the BCBSM and BCN logo. Click Secure Provider Resources (Blue Cross and BCN) under the Resources tab. Find the document …

https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/enrollment/Behavioral_Health_Resource_Guide.pdf

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Implementation of Tiered Rate Modifiers, Effective Jan. 1, 2024

(2 days ago) WebAs part of our initiative to improve health care delivery as well as to find solutions to aid in reducing unnecessary health care costs, BCBSIL will be implementing …

https://www.bcbsil.com/provider/education/education-reference/news/2023/09-29-2023

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For BCN HMO and BCN AdvantageSM - Blue Cross …

(5 days ago) WebAll supervising providers must be individually enrolled and credentialed and claims must be submitted with the treating provider’s modifier. Effective Jan. 7, 2020, …

https://ereferrals.bcbsm.com/docs/bcn/bcn-bh-providers-requirements-bcn.pdf

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Updated: Two changes for the services managed by Blue …

(3 days ago) Web2024. We’re making two important changes related to the services that Blue Cross Behavioral HealthSM will manage for dates of service on or after Jan. 1, 2024. …

https://providerinfo.bcbsm.com/documents/alerts/2023/202312/alert-20231222-two-changes-services-blue-cross-bh.pdf

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For Providers: Manuals BCBSM

(Just Now) WebBlue Cross Blue Shield of Michigan providers, find manuals and resources, including the Blue Cross Complete Provider Manual and our Dental Provider Manual. Our manuals …

https://www.bcbsm.com/providers/resources/manuals/

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Blue Cross and BCN: Telehealth for behavioral health providers

(9 days ago) WebSM. Revised Jan. 31, 2024. 5. For behavioral health telehealth visits, we expect providers to conduct telehealth visits using audiovisual technologies whenever possible because …

https://providerinfo.bcbsm.com/documents/billing-claims/telehealth/telehealth-behavioral-health-providers.pdf

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Behavioral Health Provider Resources - Premera Blue Cross

(4 days ago) WebPremera can’t advise providers on billing and coding. You can consult with other providers in your community or talk to a behavioral health medical billing specialist. Here are …

https://www.premera.com/wa/provider/behavioral-health/

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Requirements for providing behavioral health resources to …

(5 days ago) WebFor complete billing guidelines, see the Blue Cross PPO commercial provider manual “Psychiatric Care Services” chapter. (1) There are some nonphysician …

https://ereferrals.bcbsm.com/docs/bcbsm/bcbsm-req-providing-bh-ppo-comm.pdf

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Behavioral Health Consultations During Medical Hospitalization …

(6 days ago) WebCPT code. Threshold Time. Description. 99221. At least 40 minutes of total time on the date of the encounter. Initial hospital inpatient or observation care, per day, …

https://www.bcbstx.com/provider/medicaid/education-and-reference/news/2024/05-21-2024-bh-consult-during-hospitalization-improve-outcomes

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Clinical Payment and Coding Policies Blue Cross and Blue Shield …

(6 days ago) WebThe clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers. Certain …

https://www.bcbsil.com/provider/standards/standard-requirements/clinical-payment-coding-policies

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Behavioral Health Provider Resources Anthem.com

(Just Now) WebBehavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. Become an Anthem provider and join the nation’s …

https://www.anthem.com/provider/behavioral-health/

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Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More

(3 days ago) WebIf you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and …

https://www.anthem.com/

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FOR COMMUNITY BEHAVIORAL HEALTH PROVIDERS - DBHDD

(5 days ago) WebFY 24 th– 4 Quarter Provider Manual for Community Behavioral Health Providers (April 1, 2024) Page . 8. of . 492. PART I . Eligibility, Service Definitions and Service …

http://dbhdd.org/files/Provider-Manual-BH.pdf

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BCN Behavioral Health - Blue Cross Blue Shield of Michigan

(Just Now) WebBlue Cross Behavioral Health SM manages prior authorizations for behavioral health services (for mental health and substance use disorders) for the following members: …

https://ereferrals.bcbsm.com/bcn/bcn-behavioral_health.shtml

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GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND …

(5 days ago) WebDetails regarding Medicaid provider requirements can be found at www.ghp.georgia.gov. Click on the “Provider Information” tab and the link to “Medicaid Provider Manuals”, …

https://dbhdd.georgia.gov/document/document/adult-mro-specialty-services-application-users-guide/download

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Behavioral Health - Blue Cross Blue Shield of Michigan

(4 days ago) WebBlue Cross Behavioral Health SM manages prior authorizations for behavioral health services (for mental health and substance use disorders) for the following members: …

https://ereferrals.bcbsm.com/bcbsm/bcbsm-behavioral-health.shtml

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